PHILIP RAYMOND LENTZ

FOREST GROVE, OR
NPI1164618823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  ATAT10118984)
Enumeration Date2007-09-17
Last Update Date2007-09-17
Business Address
-- PHILIP RAYMOND LENTZ ATC, MS
2043 COLLEGE WAY PAC CENTER
FOREST GROVE, OR 97116-1756
Phone number: 503-352-2014
Mailing Address
-- PHILIP RAYMOND LENTZ ATC, MS
2043 COLLEGE WAY PAC CENTER
FOREST GROVE, OR 97116
Phone number: 503-352-2014
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